Multi-filament Tubular Construct for Sternotomy Closure
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Solution Overview
Problem
Existing woven or braided metal bands used in sternotomy closures face challenges due to large movements and forces, which can lead to damage to bones and tissues, and require improvements in strength and manufacturability.
Innovation Solution
The use of multi-filament microcables instead of traditional monofilament wires to create a woven or braided tubular construct with specific dimensions and materials, such as stainless steel and superelastic alloys, to enhance strength and compatibility with existing medical devices.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Strength
If traditional monofilament wires are used as constituent elements of a woven or braided band, then the structure is simple and easy to manufacture, but the strength and flexibility are insufficient to handle large forces and movements in sternotomy closures
Solution Approach 1:
The patent applies segmentation by replacing traditional monofilament wires with multi-filament microcables, where each constituent element is divided into multiple smaller filaments (e.g., 7, 19, or 37 filaments per cable). This segmentation increases the overall strength and flexibility of the woven or braided band while maintaining manufacturability, as the multi-filament structure better distributes mechanical stresses and accommodates large movements in sternotomy closure applications.
2Stress or pressure
If the woven or braided structure is adapted to lay flat against the bone to spread pressure, then the pressure distribution improves, but the force on adjacent bone may still be excessive
Solution Approach 1:
The patent applies local quality by using multi-filament microcables with varying filament configurations in different regions of the woven or braided band. This allows the structure to locally adapt to the bone surface geometry, improving pressure distribution while the overall enhanced strength of the multi-filament construction reduces excessive forces on adjacent bone during patient movement.
3Reliability
If multi-filament microcables are used instead of monofilament wires, then the strength and flexibility are improved, but the manufacturing complexity increases
Solution Approach 1:
The patent applies parameter changes by systematically varying the number of filaments per microcable (e.g., 7, 19, or 37 filaments) and the configuration of these filaments to optimize both reliability and manufacturability. The multi-filament construction provides enhanced strength and flexibility for reliable sternotomy closure, while the standardized filament counts and configurations maintain compatibility with existing manufacturing processes and medical device fabrication techniques.
Data Source
AI summary
Multi-filament microcables are used in place of the traditional monofilament wires as the constituent elements of a woven or braided band. This enhances the function and manufacturability of such bands for various applications, such as orthopaedic applications including sternotomy closures.


